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The Health Center Program: Governance

Board Size and Composition

The board must have at least 9, but no more than 25 members.  While this is not a requirement for health center grantees that receive funding solely to serve homeless individuals and residents of public housing, all boards should seek an adequate number of members to ensure the presence of a quorum at each board meeting should there be absent board members.

  • At least 51 percent of the board's members must be patients or “consumers” of the health center.
  • These consumer board members must reasonably represent the individuals served by the health center in terms of demographic factors:
    • ethnicity
    • race
    • sex
    • Where possible, it is encouraged that socioeconomic status be considered as well.
  • The remaining non-consumer members of the board (49 percent or less) must be representatives of the area served by the center and have expertise in community affairs; Federal, State, and local government; accounting; health administration; health professions; business; finance; banking; legal affairs; trade unions; insurance; and personnel management as well as social services such as religion, education, and welfare.
  • No more than half of these remaining , non-consumer members of the board (49 percent or less) can not earn more than 10 percent of their income from the health care industry.  (Example: if the board has 10 members, then no more than 4 members may be “non-consumers ” of the center's services. Of those four, only two members may earn more than 10 percent of their income from the health care industry.)

Employees of the health center and their spouses, children, parents, or brothers or sisters (blood or marriage) cannot be members of the health center governing board.

In general, the health center governing board should have at least enough members to:

  • Represent all segments of the community
  • Represent all areas of expertise required
  • Complete the work needed without overloading some or all of the board members.

Governance Regulations
 

Health Center Program Expections: Governance (Program Information Notice 98-23)

Implementation of the Section 330 Governance Requirements (Program Information Notice 98-12)